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COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy)

INTRODUCTION: On February 20, 2020, a severe case of pneumonia due to SARS-CoV-2 was diagnosed in northern Italy (Lombardy). Some studies have identified obesity as a risk factor for severe disease in patients with COVID-19. The purpose of this study was to investigate the incidence of SARS-CoV-2 in...

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Autores principales: Uccelli, Matteo, Cesana, Giovanni Carlo, De Carli, Stefano Maria, Ciccarese, Francesca, Oldani, Alberto, Zanoni, Adelinda Angela Giulia, Giorgi, Riccardo, Villa, Roberta, Ismail, Ayman, Targa, Simone, D’Alessio, Andrea, Cesana, Giancarlo, Mantovani, Lorenzo, Olmi, Stefano
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7599117/
https://www.ncbi.nlm.nih.gov/pubmed/33128218
http://dx.doi.org/10.1007/s11695-020-05085-z
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author Uccelli, Matteo
Cesana, Giovanni Carlo
De Carli, Stefano Maria
Ciccarese, Francesca
Oldani, Alberto
Zanoni, Adelinda Angela Giulia
Giorgi, Riccardo
Villa, Roberta
Ismail, Ayman
Targa, Simone
D’Alessio, Andrea
Cesana, Giancarlo
Mantovani, Lorenzo
Olmi, Stefano
author_facet Uccelli, Matteo
Cesana, Giovanni Carlo
De Carli, Stefano Maria
Ciccarese, Francesca
Oldani, Alberto
Zanoni, Adelinda Angela Giulia
Giorgi, Riccardo
Villa, Roberta
Ismail, Ayman
Targa, Simone
D’Alessio, Andrea
Cesana, Giancarlo
Mantovani, Lorenzo
Olmi, Stefano
author_sort Uccelli, Matteo
collection PubMed
description INTRODUCTION: On February 20, 2020, a severe case of pneumonia due to SARS-CoV-2 was diagnosed in northern Italy (Lombardy). Some studies have identified obesity as a risk factor for severe disease in patients with COVID-19. The purpose of this study was to investigate the incidence of SARS-CoV-2 infection and its severity in patients who have undergone bariatric surgery. MATERIAL AND METHODS: During the lockdown period (until May 2020), we contacted operated patients by phone and social networks (e.g., Facebook) to maintain constant contact with them; in addition, we gave the patients a dedicated phone number at which to call us for emergencies. We produced telemedicine and educational videos for obese and bariatric patients, and we submitted a questionnaire to patients who had undergone bariatric surgery in the past. RESULTS: A total of 2145 patients (313 male; 1832 female) replied to the questionnaire. Mean presurgical BMI: 44.5 ± 6.8 kg/m(2). Mean age: 44.0 ± 10.0 year. Mean BMI after surgery: 29.3 ± 5.5 kg/m(2) (p < 0.05). From February to May 2020, 8.4% of patients reported that they suffered from at least one symptom among those identified as related to SARS-CoV-2 infection. Thirteen patients (0.6%) tested positive for COVID-19. Six patients (0.3%) were admitted to the COVID Department, and 2 patients (0.1%) were admitted to the ICU. CONCLUSIONS: Although the reported rates of symptoms and fever were high, only 0.6% of patients tested positive for COVID-19. Among more than 2000 patients who underwent bariatric surgery analyzed in this study, only 0.1% needed ICU admission. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11695-020-05085-z.
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spelling pubmed-75991172020-11-02 COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy) Uccelli, Matteo Cesana, Giovanni Carlo De Carli, Stefano Maria Ciccarese, Francesca Oldani, Alberto Zanoni, Adelinda Angela Giulia Giorgi, Riccardo Villa, Roberta Ismail, Ayman Targa, Simone D’Alessio, Andrea Cesana, Giancarlo Mantovani, Lorenzo Olmi, Stefano Obes Surg Original Contributions INTRODUCTION: On February 20, 2020, a severe case of pneumonia due to SARS-CoV-2 was diagnosed in northern Italy (Lombardy). Some studies have identified obesity as a risk factor for severe disease in patients with COVID-19. The purpose of this study was to investigate the incidence of SARS-CoV-2 infection and its severity in patients who have undergone bariatric surgery. MATERIAL AND METHODS: During the lockdown period (until May 2020), we contacted operated patients by phone and social networks (e.g., Facebook) to maintain constant contact with them; in addition, we gave the patients a dedicated phone number at which to call us for emergencies. We produced telemedicine and educational videos for obese and bariatric patients, and we submitted a questionnaire to patients who had undergone bariatric surgery in the past. RESULTS: A total of 2145 patients (313 male; 1832 female) replied to the questionnaire. Mean presurgical BMI: 44.5 ± 6.8 kg/m(2). Mean age: 44.0 ± 10.0 year. Mean BMI after surgery: 29.3 ± 5.5 kg/m(2) (p < 0.05). From February to May 2020, 8.4% of patients reported that they suffered from at least one symptom among those identified as related to SARS-CoV-2 infection. Thirteen patients (0.6%) tested positive for COVID-19. Six patients (0.3%) were admitted to the COVID Department, and 2 patients (0.1%) were admitted to the ICU. CONCLUSIONS: Although the reported rates of symptoms and fever were high, only 0.6% of patients tested positive for COVID-19. Among more than 2000 patients who underwent bariatric surgery analyzed in this study, only 0.1% needed ICU admission. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s11695-020-05085-z. Springer US 2020-10-31 2021 /pmc/articles/PMC7599117/ /pubmed/33128218 http://dx.doi.org/10.1007/s11695-020-05085-z Text en © Springer Science+Business Media, LLC, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Contributions
Uccelli, Matteo
Cesana, Giovanni Carlo
De Carli, Stefano Maria
Ciccarese, Francesca
Oldani, Alberto
Zanoni, Adelinda Angela Giulia
Giorgi, Riccardo
Villa, Roberta
Ismail, Ayman
Targa, Simone
D’Alessio, Andrea
Cesana, Giancarlo
Mantovani, Lorenzo
Olmi, Stefano
COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy)
title COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy)
title_full COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy)
title_fullStr COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy)
title_full_unstemmed COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy)
title_short COVID-19 and Obesity: Is Bariatric Surgery Protective? Retrospective Analysis on 2145 Patients Undergone Bariatric-Metabolic Surgery from High Volume Center in Italy (Lombardy)
title_sort covid-19 and obesity: is bariatric surgery protective? retrospective analysis on 2145 patients undergone bariatric-metabolic surgery from high volume center in italy (lombardy)
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7599117/
https://www.ncbi.nlm.nih.gov/pubmed/33128218
http://dx.doi.org/10.1007/s11695-020-05085-z
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